Individual
CASEY TURNER GUNDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1202 W 12600 S, RIVERTON, UT 84065-7094
(801) 999-2795
Mailing address
8893 S 2240 W, WEST JORDAN, UT 84088-9594
(801) 201-4232
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
265285-1701
UT
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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